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  5. NDC Package Code: 69877-031-05 Dehydrated Alcohol

NDC Package 69877-031-05 Dehydrated Alcohol

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
69877-031-05
Package Description:
5 VIAL, DISPENSING in 1 BOX / 1 mL in 1 VIAL, DISPENSING
Product Code:
69877-031
Proprietary Name:
Dehydrated Alcohol
Usage Information:
Dehydrated Alcohol Injection, USP is indicated for therapeutic neurolysis of nerves or ganglia for the relief of intractable chronic pain in such conditions as inoperable cancer and trigeminal neuralgia (tic douloureux), in patients for whom neurosurgical procedures are contraindicated. Relief of trigeminal neuralgia usually is only temporary. Other conditions for which injection of alcohol has been reported include glossopharyngeal neuralgia, angina pectoris and severe claudication due to peripheral vascular insufficiency.Alcohol concentrations of 40 to 50% (prepared by appropriate dilution of dehydrated alcohol) have been used for epidural or individual motor nerve injections to control certain manifestations of cerebral palsy and spastic paraplegia. Similar concentrations also have been injected for celiac plexus block to relieve pain of inoperable upper abdominal cancer, and have been injected intra-and subcutaneously for relief of intractable pruritus ani.
11-Digit NDC Billing Format:
69877003105
NDC to RxNorm Crosswalk:
  • RxCUI: 1869279 - ethanol 98 % in 1 ML Injection
  • RxCUI: 1869279 - 1 ML ethanol 0.98 ML/ML Injection
  • RxCUI: 1869279 - ethanol 98 % per 1 ML Injection
    • Labeler Name:
    Raw Materials International Overseas Llc
    Sample Package:
    No
    Start Marketing Date:
    08-12-2015
    Listing Expiration Date:
    12-31-2017
    Exclude Flag:
    I
    Code Structure:

    The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 69877-031-05?

    The NDC Packaged Code 69877-031-05 is assigned to a package of 5 vial, dispensing in 1 box / 1 ml in 1 vial, dispensing of Dehydrated Alcohol, labeled by Raw Materials International Overseas Llc. The product's dosage form is and is administered via form.

    Is NDC 69877-031 included in the NDC Directory?

    No, Dehydrated Alcohol with product code 69877-031 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Raw Materials International Overseas Llc on August 12, 2015 and its listing in the NDC Directory is set to expire on December 31, 2017 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 69877-031-05?

    The 11-digit format is 69877003105. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-269877-031-055-4-269877-0031-05